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A 64-year-old woman presented to our facility with recurrent chest tightness. Angiography showed a dilated 10 mm aneurysmal tortuous coronary artery fistula CAF to the main pulmonary arterial trunk occupying a large area of the anterior surface of the aortic root. Left and right heart catheterization showed high left-to-right shunt flow. Fissurectomy and coronary artery bypass grafting were performed. The patient had no postoperative complications and became asymptomatic. The outcome of our case shows that CAF should be a differential diagnosis of recurrent symptomatic cardiac ischemia. Intervention is indicated if symptoms or secondary complications develop.

KEYWORDS

Congenital, Coronary Aneurysm, Coronary Fistula, Angina

Cite this paper

Kawabori, M. and Kurata, A. 2015 A Fistula between Coronary and Main Pulmonary Arteries with Chest Tightness. World Journal of Cardiovascular Surgery, 5, 135-138. doi: 10.4236-wjcs.2015.512021.





Autor: Masashi Kawabori1*, Atsushi Kurata2

Fuente: http://www.scirp.org/



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